go back

Michigan rates for HCPCS A6404

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Facilitymedian $3 · 10th–90th $1–$70%5%10%10th90th$3Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.1$0.2$0.5$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $3.39 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.65 / $0.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.37 / $0.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.37 / $0.50
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.65 / $0.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.21 / $0.35